Modified SOFA-RV Score of Akin et al for a Patient with Cardiogenic Shock on VA-ECMO or Other Mechanical Circulatory Support Device

Parameter

Finding

Points

PaO2 to FIO2 ratio

>= 400

0

300 to 399

1

200 to 299

2

100 to 199 and mechanically ventilated

3

< 100 and mechanically ventilated

4

platelet count

>= 150,000 per µL

0

100,000 to 149,999 per µL

1

50,000 to 99,999 per µL

2

20,000 to 49,999 per µL

3

< 20,000 per µL

4

Glasgow coma scale

15

0

13 or 14

1

10 to 12

2

6 to 9

3

3 to 5

4

serum total bilirubin

< 1.2 mg/dL

0

1.2 to 1.9 mg/dL

1

2.0 to 5.9 mg/dL

2

6.0 to 11.9 mg/dL

3

>= 12 mg/dL

4

mean arterial pressure (with vasopressor)

>= 70 mm Hg

0

< 70 mm Hg

1

pressors (with MAP)

none

0

dopamine <= 5 or any dose dobutamine

2

dopamine > 5; epinephrine or norepinephrine <= 0.1

3

epinephrine or norepinephrine > 0.1

4

serum creatinine

< 1.2 mg/dL

0

1.2 to 1.9 mg/dL

1

2.0 to 3.4 mg/dL

2

3.5 to 4.9 mg/dL

3

>= 5 mg/dL

4

right ventricular score

LV failure and normal RV function

0

LV failure and mild RV failure

1

isolated RV failure

2

LV failure and moderate RV failure

3

LV failure and severe RV failure

4